Title Page

  • Site #:

  • QSV conducted on:

  • QSV prepared by:

Mystery Shop Inspection

  • Original Mystery Shop Score:

  • Number of CURE's Submitted:

  • Final Mystery Shop Score:

Price Survey

  • SEI Prices:

  • Competitor 1 Prices:

  • Competitor 2 Prices:

  • Competitor 3 Prices:

Forecourt

  • MID Price sign working / good condition:

  • MID sign visible to customers:

  • Prices matches the pumps:

Landscape

  • Air and water working:

  • Landscape well maintained:

Tank Pads

  • Fill caps present:

  • Lids painted and identified:

  • Spill buckets are clean:

Canopy

  • Deck is clean, no paint needed:

  • Columns clean, no paint needed:

  • Facia clean:

  • Lights in working condition:

Dispensers

  • Pumps in working condition:

  • Security seals and decals present:

  • No graffiti or adhesives present:

  • Hand sanitizers on dispensers:

  • Dispensers clean:

  • No dispensers damaged:

Trash Valet

  • Clean appearance:

  • No trash overflowing:

  • Towels present:

  • Squeegees present:

  • Clean water for squeegees:

Curbs and Bollards

  • Paint well maintained:

  • No damage present:

Lot Condition

  • No pot holes:

  • Striping well maintained:

  • No weeds in forecourt area:

  • No trash in forecourt area:

  • No spills in forecourt area:

Current POP

  • Correct pump toppers

  • 3x3 and valet:

  • Exterior POP present:

  • CC apps present:

  • No temp. or handwritten signs present:

Carwash (If Applicable)

  • Signage at dispensers:

  • Directional signage present:

  • Building well maintained:

  • Bay are cleaned and well maintained:

  • Washes are quality:

Staff

  • Clean appearance:

  • Friendly and nice to customers:

  • Uniforms present:

  • Nametags present:

Restrooms

  • Clean appearance / properly functioning:

  • Odor in restrooms:

  • Supplies are stocked:

  • No trash overflowing:

  • No graffiti present:

Salesfloor:

  • Clean appearance:

  • Items in stock:

  • No clustered areas:

  • Items priced:

  • No drug paraphernalia present:

Vault / Coolers

  • Clean appearance:

  • Items in stock:

  • Items priced:

POP

  • Present on salesfloor:

  • Present on counter:

  • CC apps / loyalty present:

Fresh Food

  • Clean appearance:

  • Items stocked:

  • Items fresh and appealing:

  • Items priced:

Additional Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.